Advancing Quality Measurement and Improvement through Core Measure - - PowerPoint PPT Presentation

Chinwe Nwosu, MS Director, Clinical Affairs, America’s Health Insurance Plans (AHIP) September 10, 2019

Advancing Quality Measurement and Improvement through Core Measure Sets

CQMC Background

• The Core Quality Measures Collaborative (CQMC or Collaborative)

is a broad-based coalition of health care leaders convened by America’s Health Insurance Plans (AHIP) starting in 2015.

• Includes the Centers for Medicare and Medicaid Services (CMS), the

National Quality Forum (NQF) health insurance providers, medical associations, consumer groups, purchasers (including employer group representatives), and other quality collaboratives.

• CQMC members work to identify Core Measure Sets – parsimonious

sets of scientifically sound measures that efficiently promote a patient-centered assessment of quality and should be prioritized for adoption in value-based purchasing and alterative payment models.

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• Recognize high-value, high-impact, evidence-based measures that

promote better patient health outcomes, and provide useful information for decision making, improvement, and outcomes-based payment.

• Align measures across public and private health insurance providers

to achieve congruence in the measures being used for quality improvement, transparency, and payment purposes.

• Reduce the burden of measurement by eliminating low-value

metrics, redundancies, and inconsistencies in measure specifications and reporting requirements across public and private health insurance providers.

CQMC Aims

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Current Core Measure Sets

• Accountable Care Organizations (ACOs), Patient Centered Medical

Homes (PCMH), and Primary Care (ACO/PCMH/PC)

• Cardiology
• Gastroenterology
• HIV and Hepatitis C
• Medical Oncology
• Obstetrics and Gynecology (OB/GYN)
• Orthopedics
• Pediatrics

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CQMC Member Organizations

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• Voting members are able to attend and contribute to CQMC workgroup

meetings and development of Core Measure Sets. They are also able to vote on vote on CQMC workgroup and full collaborative recommendations as well as governance issues.

• Includes public and private health insurance providers, medical associations,

purchasers, and consumer groups.

• Nonvoting members are able to serve as interested parties and may

provide ideas, technical expertise, comments during CQMC workgroup

• meetings. However, they are not able to vote on CQMC workgroup and

full collaborative recommendations or governance issues.

• Includes measure stewards, measure developers, data solutions providers,

hospitals/health systems, and physician group practices.

Membership Categories

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• In October 2018, NQF became the operational home of the

Collaborative to:

• Become more independent,
• Ensure its long-term sustainability,
• Bring more subject matter expertise to its deliberations, and
• Align its work with broader stakeholder efforts to achieve core measure sets.
• The CQMC continues to function as an autonomous body under the

governance of its existing Steering Committee.

• AHIP, using participant fees, and CMS separately contract with NQF

for portions of this work.

Transition of the CQMC to NQF

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1. Advance health and healthcare improvement goals and align with stakeholder priorities. 2. Are unlikely to promote unintended adverse consequences. 3. Are scientifically sound (e.g., NQF-endorsed or otherwise proven to be evidence-based, reliable, and valid in diverse populations). 4. Represent a meaningful balance between measurement burden and innovation.

Principles for measures included in Core Measure Sets

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1. Provide a person-centered and holistic view of quality, including consideration

• f Social Determinants of Health (SDOH) and experience of care.

2. Provide meaningful and usable information to all stakeholders. 3. Promote parsimony, alignment, and efficiency of measurement (i.e., minimum number of measures and the least burdensome measures). 4. Include an appropriate mix of measure types while emphasizing outcome measures and measures that address cross-cutting domains of quality. 5. Promote the use of innovative measures (e.g., eMeasures, measures intended to address disparities in care, or patient-reported outcome measures). 6. Include measures relevant to the medical condition of focus (i.e., “specialty- specific measures”).

Principles for Core Measure Sets

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• #0018 - Controlling High Blood Pressure
• #0059 - Comprehensive Diabetes Care: Hemoglobin A1c Poor

Control (>9.0%)

• N/A - Breast Cancer Screening (NCQA)
• #0032 - Cervical Cancer Screening
• #0034 - Colorectal Cancer Screening
• #1799 – Medication Management for People with Asthma
• #0005 - CG CAHPS (Getting Timely Appointments, Care, and

Information; How Well Providers (or Doctors) Communicate with Patients; and Access to Specialists)

Example of measures in the ACO/PCMH/PC Core Measure Set

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Measure Medicare Advantage Star Ratings Exchange Quality Rating System Quality Payment Program Medicare Shared Savings Program CPC+ KHC Core Measure Set Controlling High Blood Pressure Controlling High Blood Pressure (HEDIS 2016) Persistence of Beta-Blocker Treatment After a Heart Attack Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) Comprehensive Diabetes Care: Eye Exam (retinal) performed Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Testing Comprehensive Diabetes Care: Foot Exam Comprehensive Diabetes Care: Medical Attention for Nephropathy Medication Reconciliation Post-Discharge Cervical Cancer Screening (CCS) Non-recommended cervical cancer screening in adolescent females Breast Cancer Screening Colorectal Cancer Screening (COL) Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow- Up Plan Use of Imaging Studies for Low Back Pain CAHPS Clinician & Group Surveys (CG-CAHPS)-Adult, Child Depression Remission at Twelve Months Depression Response at Twelve Months- Progress Towards Remission Medication Management for People with Asthma Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis (AAB)

ACO/PCMH/PC Set: Overlap with Other Programs

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Measure Exchange Quality Ratings System Quality Payment Program Medicaid Child Core Set KHC Core Measure Set Childhood Immunization Status (CIS) Immunizations for Adolescents (IMA) Developmental Screening in the First Three Years of Life Chlamydia Screening for Women Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34) Medication Management for People With Asthma (MMA) Appropriate Testing for Children With Pharyngitis (CWP) Appropriate Treatment for Children With Upper Respiratory Infection (URI)

Pediatric Set: Overlap with Other Programs

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• In 2017, AHIP surveyed health insurance providers about their

progress toward Core Measure Set adoption.

• 18 of 20 respondents have taken action toward adoption, including incorporating

measures into contracts

• Most respondents have adopted the ACO/PCMH/PC core measure sets, but

OB/GYN and Cardiology also have good uptake

• Higher uptake of measures based on claims data vs measures that rely on

clinical data

• Higher measure of HEDIS measures have been adopted by plans compared to

non-HEDIS measures.

Core Measure Set Implementation

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• Survey respondents noted several challenges to Core Measure Set

adoption:

• Lack of interoperability between a provider’s EHR and a health plan’s data

infrastructure

• Small sample sizes at the provider level limits plans’ use of the measures
• Lack of alignment with state and employer measurement efforts
• Proposed strategies to reduce burden:
• Standardize measure implementation across payers
• Align CMS reporting requirements with the core measures
• Identify high-impact measures with strong relationships to outcomes
• Increase data capability of EHRs and interoperability between registries

Core Measure Set Implementation

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• NQF produce a report examining potential approaches to prioritizing

new topics for future core measure sets.

• Finalized in Spring 2019 after 30-day public comment period.
• Based on environmental scan of approaches used by other initiatives seeking to

develop core sets and identification of conditions that have high incidence or prevalence or high healthcare spending and would benefit from increased measure alignment.

• NQF identified five general approaches to identifying topics for core

sets:

• Stakeholder priorities
• Cross-cutting topics (e.g., apply to multiple conditions, settings, or models)
• Payment model specific
• Setting specific
• Specialty specific (current CQMC approach)

Measure Set Prioritization Framework

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• Condition/Specialty Specific Measure Sets
• Behavioral Health
• Neurology
• Pulmonology
• Endocrine
• Cross-Cutting
• Care Coordination/Transitions of Care
• Patient Safety
• Access to Care
• Appropriate Use
• Population Health

Potential New Measure Set Topics

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• Complete the CQMC membership application form, available on the

CQMC website here: http://www.qualityforum.org/CQMC_Join_Now.aspx

• Send your completed form to CQMC@qualityforum.org

How to Become a Member

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Questions and Discussion

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• What hurdles have you

encountered in measurement and value-based programs?

• Any goals or objectives we are

missing?

• What new workgroups would

you like to see?

• How can we work together to

speed adoption?

• Interested in joining?